DR. KELLY J AMOSSON (NPI# 1851583694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851583694 |
| Entity Type | Individual |
| Full Name | DR. KELLY J AMOSSON |
| Credential | DC |
| Practice Address |
3510 Kimball Ave Suite B Waterloo IA 50702-5760 |
| Practice Telephone | 3192362737 |
| Practice Fax Number | 3192368419 |
| Mailing Telephone | 3192362737 |
| Mailing Fax Number | 3192368419 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2012-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | A6072 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0165753 | 05 |
| Street Address |
3510 KIMBALL AVE SUITE B |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063582856 | Sandra Kay Anderson | Massage Therapist | 3510 Kimball Ave, Suite B, Waterloo, IA 50702-5760 | 2006-11-08 |
| 1447500129 | Amosson Chiropractic PC | Chiropractor | 3510 Kimball Ave, Ste. B, Waterloo, IA 50702-5760 | 2012-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619448370 | Tasha Marie Fuller | Chiropractor | 47 Virginia St, Waterloo, NY 13165-1444 | 2018-12-06 |
| 1922591452 | Amanda Hussman | Chiropractor | 203 E Tower Park Dr Ste B, Waterloo, IA 50701-9321 | 2018-06-09 |
| 1104287069 | Back In Motion Chiropractic LLC | Chiropractor | 2835 University Ave, Waterloo, IA 50701-3335 | 2016-03-18 |
| 1780067256 | Emily Michele Kruse | Chiropractor | 208 E Mill St, Waterloo, IL 62298-1519 | 2015-07-02 |
| 1598160590 | Kingsley D Kabari | Chiropractor | 1963 Us Route 20, Waterloo, NY 13165-8552 | 2014-11-03 |
| 1093114589 | Bryan D'aoust | Chiropractor | 430 Wagner St, Waterloo, NY 13165-6702 | 2014-08-20 |
| 1346552643 | Lance E. Vanderloo Dc PC | Chiropractor | 3731 Kimball Avenue, Waterloo, IA 50702-5728 | 2010-07-02 |
| 1528382793 | Schumann Chiropractic LLC | Chiropractor | 143 N Monroe St, Waterloo, WI 53594-1124 | 2010-03-17 |
| 1447572243 | Devin D Schumann | Chiropractor | 132 W Madison St, Waterloo, WI 53594-1320 | 2010-02-19 |
| 1669654356 | Hartzell Family Chiropractic, P.l.c. | Chiropractor | 509 Ansborough Ave, Ste A, Waterloo, IA 50701-2139 | 2007-12-04 |
| Find all providers in WATERLOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.